Good Practice Services (Sept 2019)



Monday 23rd September – Day 1

9.00a.m. – 9.45 a.m. Welcome 

Chair: Roberto Mezzina

  • ASUITs  – Antonio Poggiana, Special Commissioner of ASUITs (Italy)
  • World Health Organization – Dévora Kestel, video message from the Director of the Department of Mental Health and Substance Abuse (Geneva)
  • World Health Organization – Michelle Funk, Coordinator Mental Health Policy and Service Development (Geneva)
  • World Health Organization – Dan Chisholm, Programme Manager for Mental Health in the WHO Regional Office for Europe (Copenhagen)
  • WFMH  – Alberto Trimboli, President of WFMH (Argentina)
  • IMHCN – John Jenkins CEO IMHCN (UK)
  • Human Rights Watch – Shanta Rau Barriga, Director of the Disability Rights Program (Bruxelles)
  • MHE – Jan Berndsen, President of MHE (The Neatherlands)

9.45 a.m. – 10.40 a.m. Plenary Session:  

Introduction of Quality Rights and good practice service guidance, Michelle Funk (Geneva) presentation 



11.00 a.m. – 13.00 p.m. Plenary Session: Responding to Crises

Chair/discussant:  Roberto Mezzina

General discussion



2:00 p.m. – 6:00 p.m.  Plenary Session: Good Practice Service presentation and discussion (b)

2:00 p.m. – 3:00 p.m. Peer Support

Chair/discussant: Jan Berndsen

  • Enik Recovery College: 100% peer run innovation, Martijn Kole (The Netherlands) abstract / presentation
  • Working with Voices, Olga Runciman (Denmark) abstract

3:00 p.m. – 4:00 p.m.  Primary care and support in community

Chair/discussant: Mirella Ruggeri


4:30 p.m. -6:00 p.m. Plenary Session: Good Practice Service presentation and discussion (c)

Networks and services providing multisectoral supports

Chair/discussant: Peppe Dell’Acqua

  • Lille coordinated network of Services, Anastasia Cornet / Gery Kruhelski  presentation 
  • Walsh Trust New Zealand, (video) Rob Warriner (New Zealand)
  • Changing Narratives- reaching out to marginalized communities within the Mental Health System – ENOSH, Liron David (Israel) abstract / presentation 

Presentation of the proposal of Franco Basaglia Equipe and Trieste psychiatric community as a candidate for the Nobel Peace Prize, Mauro Barberis / Gianni Peteani / Marco Puntin (Italy) info


Tuesday 24th September – Day 2

Whole system change: discussing the Trieste model and the implementation of an open door no restraint system. 

9:00 a.m. – 10:30 a.m. Plenary Session: Trieste today and the regional developments

Chair/discussant: Angelo Fioritti presentation

  • Trieste coordinated network of services: whole life, recovery and citizenship for 50 years, Roberto Mezzina (Italy) abstract / presentation 
  • 24hrs Community Mental Health Centers: an operation manual or more?, Claudia Fantuzzi / Daniela Speh / Gabriella D’Ambrosi (Italy) abstract / presentation 
  • The Regional Mental Health System, Marco Bertoli / Mauro Asquini / Maria Angela Bertoni / Fulvio Tesolin / Giulio Castelpietra (Italy) abstract / presentation 1 / presentation 2


11:00 a.m. – 1:00 p.m. Plenary Session:  Local & global: co-production and innovation

Chair/discussant: Fabrizio Starace

  • Personal Health Budget: means for integration but in the hands of whom?, Morena Furlan / Arturo Rippa / Pablo Cangiano (Italy) abstract / presentation 1 / presentation 2 / presentation 3
  • The experience of open door forensic units in the Friuli Venezia Giulia Region, Alessandro Norbedo (Italy) presentation
  • The experience of Recovery House: recovery and empowerment pathways, Roberta Casadio / Michele Sipala / Nicola Zulian / Izabel Marin (Italy) abstract / presentation
  • Gender sensitive approach in community mental health : actions and perspectives, Marina Barnabà / Valentina Botter / Paola Zanus / Elisabetta Paci (Italy) abstract / presentation

Conclusion: “The global impact of the Trieste model of Community Services”, Fran Silvestri / Tim Kendall (Uk / New Zealand) abstract


11:00 a.m – 1:00 p.m. Parallel Session: Selected International Good Practices (Eng)

Venue: Spazio Rosa

Chair/discussant: Renzo Bonn

  • Crisis Team “Tandemplus”, Patrick Janssens (Belgium) abstract / presentation
  • Human Rights Watch, Shanta Rau Barriga (Bruxelles) abstract / presentation
  • Institution, coercion and trauma, Thomas Emmenegger (Switzerland / Italy) abstract / presentation 
  • Community as Therapy: Beyond Integrated Care, Ralph Aquila / Gilberto D’Ubaldi / Guido Valentino (USA / Italy) abstract / presentation
  • Open Dialogue in Trieste MHD: process of implementation, critical issues and perspectives, Pina Ridente (Italy) abstract / presentation 
  • Open Dialogue: Experiences from the Counseling Service of Addison County in Vermont (USA), Alexander Smith / Robert Jimerson (USA) abstract / presentation 


2:00 p.m. – 4:00 p.m. Plenary Session: Whole system change: discussing the Trieste model and the implementation of an open door no restraint system. Twinning Collaboration: International experiences

Chair/discussant  John Jenkins

  • The experience in Wales: Hywell Dda and Aneurin Bevan Health Boards, Daniela Speh / John Jenkins / Warren Lloyd / Richard Jones (UK / Italy) abstract / presentation 1 / presentation 2 / presentation 3
  • Los Angeles: T.R.I.E.S.T.E. Project, Jonathan Sherin / Kerry Morrison / Roberto Mezzina / Tommaso Bonavigo (USA / Italy) abstract / presentation
  • Italy-Slovenia: EGTC – GO (European Group of Territorial Cooperation) – Health project – Zdravstvo – Mental Health,  Bogdan Tušar / Alessandro Saullo / Marco Visintin (Slovenia / Italia) abstract / presentation 1/ presentation 2 
  • Poland: Summary of 4 years co-operation and how it influenced the reform of Polish Mental Health System, Regina Bisikiewicz (Poland) abstract / presentation



Venue: Room Clinica Psichiatrica

Closed meeting coordinated by Melita Murko and Dan Chisholm

Who Europe QualityRights project Inter-country project meeting – planning and review meeting with EURO country focal points to discuss next phase.


4:30 p.m. – 6:15 p.m. Plenary Session: From Humanization to Deinstitutionalization

Chair/discussant: Vladimir Jovic  abstract 

  • QualityRights: country presentations and general discussion, Melita Murko / Dan Chisholm (Geneva) presentation
  • Recommendations on the phasing out of psychiatric hospitals: results from a qualitative research, Roberto Mezzina / Tommaso Bonavigo (Italy) abstract  / presentation 

General discussion


Wednesday 25th September – Day 3

Countrywide and region-wide reforms

Chair/discussant: Benedetto Saraceno

9:00 a.m – 10:30 a.m. Plenary Session East to West, South to North

  • Czech Republic: the national strategy according to European MH Action Plan, Jan Pfeiffer  presentation
  • Serbia: the national strategy of deinstitutionalization, Milan Stanojkovich abstract / presentation 
  • Kenya: Establishing good practice in rights-based approaches to mental health, Faraaz Mahomed abstract / presentation 
  • Ivory Coast: Unchaining people with mental health issues,  Gregoire Ahongbonon


11:00 a.m. – 1:00 p.m.  WHO QUALITYRIGHT WORKING GROUP (English)

Venue: Mental Health Direction ROOM B

Closed meeting coordinated by Michelle Funk presentation

Good Practice Service Guidance Workshop on WHO Best Practice Services and next steps.


11:00 a.m – 12:00 p.m. Plenary Session Italy

Chair/discussant: Francesco Amaddeo

12:00 p.m. – 1:00 p.m. Plenary Session Empowerment

Chair/discussant: Lorenza Magliano

  • Empowerment: the networks of stakeholders in Europe (Lille), Jean Luc Roelandt / Simon Vasseur-Bacle (France) abstract / presentation 
  • Get Active for Mental Health, a shared National project in Catalonia that enhances recovery in  the community, Maria J. San Pío / Emilio Rojo (Spain) abstract / presentation
  • Promoting user participation in Greece – Examples of good practices from EPAPSY, Panagiotis Chondros (Greece) abstract / presentation 



Strengthening international cooperation for system reform

2:00 p.m. – 4:45 p.m.  Parallel Sessions 

A – Latin America and Spain (Spanish-Italian)

Venue: Room Ugo Guarino

Chair/discussant: Renzo Bonn / Giovanna Del Giudice

  • Approach of socio-sanitary inclusion of mental health in the General Hospital, Silvia Raggi/Alberto Trimboli et al. – Hospital Alvarez Buenos Aires (Argentina) abstract 
  • Argentina: Por un Pais sin Manicomios, Celeste Romero / Chiara Luchetta / Roberto Colapietro (Argentina / Italy)
  • The Avilés model for the implantation of assertive community treatment and crisis resolution teams in Spain, Juan José Martìnez Jambrina (Spain) abstract
  • Daily life in the expression of hearing voices: the narrative of people attended at mental health service n Belem do Para, Maria de Nazareth Malcher / Adelma Pimentel (Brazil) abstract 
  • A model of community mental health: Home care and intensive support for psychiatric crisis management Rossana Maria Seabra Sade (Brazil) abstract

Round table with video connections from Latin America countries


B – Europe and beyond (English) 

Venue: Direction MH Dep. Rooms A & B

Chair/discussant: John Jenkins / Paul Baker

  • An empirical ethics approach to Trieste mental healthcare, Christien Muusse (The Netherlands) abstract  / presentation 
  • Machines of exclusion and inclusion, Vito Flaker (Slovenia) abstract  / presentation 
  • Social Firms Europe CEFEC, Sergio Serra (Italy) abstract
  • The Role and Value of Mental Health Service Users’ Association in Fostering and Promoting Recovery, Bojan Sosic et al. – (Bosnia and Herzegovina) abstract / presentation 
  • Equity and equality: A Community network to ensure the acces to mental health care of “the last”, Massimo Marsili (France) abstract / presentation 
  • Teaching Old Gods New Tricks, Rob Warriner (New Zealand) abstract / presentation 
  • “Good Practices” means “Open doors with no restraints” and really “community based”, Theodoros Megaloeconomou (Greece) abstract / presentation
  • The hostel program – Recovery oriented care for people with long term drug addiction, within housing facilities and ambulatory care, Ronald Kemp (The Netherlands) abstract / presentation
  • To promote Dignity and Wellbeing, guaranteeing accessibility – quality – sustainability of social/health services for person, Luigi Leonori (Belgium) abstract /presentation
  • A project for improving standard of care and human rights in psychiatric hospital in Iran, Maryam Tabatabaei (Iran) abstract / presentation 


C – The person’s say: programs and practices in whole life domains

Venue: Franca e Franco Basaglia Theatre – Simultaneous translation available (Italian – English)

Chair/discussant: Mirella Ruggeri/Silva Bon abstract 

 1 . The right to work

  • Social cooperatives societies and citizens’ social integration, Stefania Grimaldi (Italy) abstract

2. The right to health

  • A pilot study of a shared decision-making program to improve antipsychotic drug treatment, Fabio Panariello / Dalmonte Giulia et al. (Italy) abstract
  • Peer support in Community MHC: The Bologna 2013-2017 program and current situation, Francesca Guzzetta / A. Cattani et al. (Italy) abstract / presentation
  • The fusion Model: Integrating Recovery Into High Octane Crisis Care (It can be done!), Charles T.Browning / Shannon Jacard (USA) abstract / presentation 

3. The right to be equal in front of the law

4. The right to indipendent living and community participation

  • Using people power to change the culture of Mental Health, Matthew Holzmann  (USA) abstract / presentation 
  • The right to live in the Community is a Human Right, Judith Klein (USA) abstract
  • Building a Healthy Community in a City that Cares, Ofelia Altomare (Italy) abstract 


2:00 p.m. – 4:45 p.m.   WHO QUALITYRIGHTS WORKING GROUP (English) 

Venue: Room Clinica Psichiatrica 

Closed meetings coordinated by Melita Murko and Dan Chisholm

 WHO Service Guidance / WHO Europe QualityRights – Market place for Innovation and Exchange

5:00 p.m. – 6:00 p.m.  Plenary Session

Chair/discussant: Roberto Mezzina presentation

The Future of Mental Health, Benedetto Saraceno / Franco Rotelli (Italy) abstract

Best Poster Award, Elisabetta Pascolo Fabrici (Italy)

Next steps for WHO and international partners, Michelle Funk (Geneva)



Poster Session 23rd – 25th September 


Best Poster Award on Wednesday 25th

Visiting DTC Project – Democratic Peer accreditation for democratic therapeutic communities, Simone Bruschetta – Visiting DTC Project Legacoopsociali (Italy)

Family foster home (IESA): The way home, S. Conti, C. Conti et al. – MHD Azienda USL Bologna (Italy)

The “Lesvos Syndrome”: PTSD with psychotic symptoms among migrants attending the MH clinic of Medecins Sans Frontieres in Lesvos, Alessandro Barberio, Maria Episkopou et al. – Medecins Sans Frontieres (Greece)

The psychosocial Clubhouses are built on human rights and support for recovery and social inclusion of people with mental disorders, Hanninen Esko – Clubhouse Europe/ Finnish Clubhouse coalition (Finland)

Knowledge, expression of subjectivity and democracy in the group: the experience of emancipation and growth of a group of people in “Maddalena” CMHC, Pietro Zolli/Annalisa Parrini et al. – MHD Trieste (Italy)

Il lavoro con le famiglie e il protagonismo dei familiari nel DSM di Trieste, Pietro Zolli et al. – MHD Trieste (Italy)

The project “mens sana in corpore sano”. Improving treatments quality for people with severe mental disorder: health care and local territory network accessibility, Pietro Zolli et al. – MHD Trieste (Italy)

Application of fractal drawing in vocational rehabilitation, Elen Ursic – Racio d.o.o. (Slovenia)


Best Poster Award :  The “Lesvos Syndrome”: PTSD with psychotic symptoms among migrants attending the MH clinic of Medecins Sans Frontieres in Lesvos 

Special Mention: Il lavoro con le famiglie e il protagonismo dei familiari nel DSM di Trieste, Pietro Zolli et al. – MHD Trieste (Italy)